Kishore Kumar, P (2022) A Retrospective study on ENT Complications in Covid-19 Patients in a Tertiary Care Center, Coimbatore. Masters thesis, P.S.G. Institute of Medical Sciences and Research, Coimbatore.
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Abstract
INTRODUCTION: Severe acute respiratory syndrome Coronavirus 2 (SARS-CoV-2) is initially called as the 2019 novel Coronavirus (2019-nCoV). Coronaviruses belong to Coronaviridae family which are further divided into alpha (α-CoV), beta (β-CoV), gamma (γ-CoV), and delta (δ-CoV) coronaviruses. The alpha and beta coronaviruses commonly infect mammals. The β-CoVs are further subdivided into different lineages (A, B, C, and D lineages). SARS-CoV-2 is grouped in lineage B, which has nearly 200 published virus sequences. SARS-CoV-2 (mainly beta-CoV of group 2B) is the causative agent of serious life-threatening disease called as coronavirus disease of 2019 (COVID-19). AIMS AND OBJECTIVES: 1. To determine different Otorhinolaryngology complications reported in Covid 19 positive patients in our tertiary care centre, Coimbatore. 2. To estimate incidence, age and gender distribution, risk factors, treatment, follow up and mortality status of study participants. JUSTIFICATION OF THE STUDY: ● The available data on the Ear Nose Throat (ENT) complications of COVID-19 patients is sparsely published. To the best of our knowledge, no previous review study to collect and describe the ENT complications in COVID-19 positive patients was reported. ● The current study discusses the different Otorhinolaryngology (ORL) complications those were reported in COVID-19 positive patients who presented to our tertiary care centre, Coimbatore. MATERIALS AND METHODS: STUDY TYPE: Retrospective Descriptive Study STUDY PERIOD: August 2020 to June 2021 STUDY SETTINGS: Department of Otorhinolaryngology, COVID Review clinic, PSG Institute of Medical Sciences and Research, Coimbatore. STUDY POPULATION: Covid 19 confirmed treated patients attending our hospital. with ENT COMPLICATIONS OR LONG LASTING ENT SYMPTOMS. SAMPLE SIZE: 100. INCLUSION CRITERIA: All COVID 19 confirmed patients with ENT COMPLICATIONS in the age of 18 years to 65 years. EXCLUSION CRITERIA: Infants toddler and adolescence upto age of 18 years and adults above 65 years. METHODOLOGY: After obtaining ethical committee approval, this study will be carried out in total patients with laboratory confirmed SARS CoV 2 infection who attended review clinic and ENT OPD, PSG Institute of medical sciences and research, Coimbatore, from August 2020 to June 2021. We identified 100 patients who developed spontaneous ENT complications like long lasting Anosmia, Septal abscess, Epistaxis, RhinoNasal Mucormycosis, Voice change for study. After obtaining the patient information from MRD files and filling it systematically, careful history, examinations and investigations were studied regarding incidence, associated risk factors, age and gender distribution of ENT complications and same were recorded and analysed. CONCLUSION: Mean age of participants in the study is 52 ± 12 yrs. Mucormycosis was the predominant post Covid complication among study population. (92%) ● Post covid ent complications more common in males with male to female ratio of 3.5:1. ● Type 2 diabetes mellitus is the central risk factor for Covid associated complications. ● Among the study population, 95% cases were managed by surgical intervention and 5% of cases were managed conservatively. ● Post treatment 90 % of cases are in regular follow up. ● The mortality in treated patients is 10% and is mainly due to Covid respiratory complications. ● Hence in conclusion early identification of these highly sensitive post Covid ENT complications is key to allow for optimal treatment and improved outcomes, to avoid mortality and morbidity among vulnerable populations.
| Item Type: | Thesis (Masters) |
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| Additional Information: | 220420500502 |
| Uncontrolled Keywords: | ENT Complications, Covid-19 Patients, Tertiary Care Center, Coimbatore, Retrospective study. |
| Subjects: | MEDICAL > Otolaryngology > MEDICAL > Otolaryngology |
| Depositing User: | Subramani R |
| Date Deposited: | 22 Apr 2022 16:48 |
| Last Modified: | 17 Dec 2023 15:23 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/19389 |
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